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Insurance Contract Specialist (Telemedicine)

Measured· Operations
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Hybrid (New York, NY / Remote (US))$60k - $90kContractPosted 11mo ago

About the role

Insurance Contract Specialist responsible for securing commercial and government payor contracts, coordinating credentialing, negotiating reimbursement terms, and building scalable contracting processes to enable telemedicine reimbursement in priority states and nationwide.

Responsibilities

  • Payor Strategy & Outreach: Research and prioritize states/payors based on market opportunity, regulatory landscape, and patient demand; Build relationships with payor network managers and initiate contract discussions.
  • Contract Negotiation & Execution: Negotiate favorable reimbursement rates, terms, and service-line coverage for telemedicine; Drive agreements to signature while safeguarding company economics and compliance.
  • Credentialing & Compliance: Coordinate provider enrollment, CAQH updates, and state-specific licensing requirements; Ensure telehealth operations meet STARK, Anti-Kickback, HIPAA, and payor policy standards.
  • Performance Tracking & Reporting: Maintain a live pipeline of payor engagements; track time-to-contract and coverage percentage; Deliver concise weekly updates to leadership on progress, roadblocks, and next steps.
  • Process & Playbook Development: Document best practices and build scalable templates for future contracting hires; Recommend process improvements across ops, clinical, finance, and legal teams.

Qualifications

  • 3–5 years in provider network development, payor contracting, or revenue-cycle management—preferably multi-state and telehealth.
  • Working knowledge of commercial, Medicare, and Medicaid reimbursement models.
  • Strong negotiation skills with payor reps and legal teams.
  • Credentialing & CAQH proficiency; familiar with STARK, Anti-Kickback, HIPAA.
  • Data-driven; comfortable building simple coverage models and dashboards.

Skills

Required:Payor contracting and negotiationCredentialing (CAQH)Compliance (HIPAA, Stark, Anti-Kickback, payor policies)
Nice to have:Data-driven modeling and dashboards
Last updated Jul 8, 2026. Interested? Apply on the company site.
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About Measured

Telemedicine platform for chronic conditions like obesity

Measured is a telemedicine platform helping people with chronic conditions get access to affordable care. We're growing rapidly and have thousands of customers across the US.

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